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The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome

Background: Hip fractures in geriatric patients often have a poor outcome in terms of mortality, mobility as well as independence. Different surgical influence factors are known that improve the outcome. Methods: In this observational cohort study, 281 patients of a geriatric trauma unit were analyz...

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Autores principales: Krickl, Julian, Ittermann, Till, Thannheimer, Andreas, Schmidt, Wolfgang, Willauschus, Maximilian, Ruether, Johannes, Loose, Kim, Gesslein, Markus, Millrose, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455730/
https://www.ncbi.nlm.nih.gov/pubmed/37623521
http://dx.doi.org/10.3390/jpm13081271
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author Krickl, Julian
Ittermann, Till
Thannheimer, Andreas
Schmidt, Wolfgang
Willauschus, Maximilian
Ruether, Johannes
Loose, Kim
Gesslein, Markus
Millrose, Michael
author_facet Krickl, Julian
Ittermann, Till
Thannheimer, Andreas
Schmidt, Wolfgang
Willauschus, Maximilian
Ruether, Johannes
Loose, Kim
Gesslein, Markus
Millrose, Michael
author_sort Krickl, Julian
collection PubMed
description Background: Hip fractures in geriatric patients often have a poor outcome in terms of mortality, mobility as well as independence. Different surgical influence factors are known that improve the outcome. Methods: In this observational cohort study, 281 patients of a geriatric trauma unit were analyzed prospectively. Demographic factors, as well as data regarding the trauma mechanism and perioperative treatment, were recorded. The nutritional status was also analyzed. The follow-up was set to 120 days. Results: The key conclusion of this study is that a high ASA classification, the use of anticoagulatory medicine and malnutrition are significantly associated with higher mortality together with worse independence (p < 0.05). There is no significant difference in outcome concerning the time to surgery within the first 24 h. Conclusions: Malnutrition seems to be an important risk factor for an adverse outcome of geriatric patients and therefore warrants a focus in multidisciplinary treatment. The risk factor ASA cannot be improved during the pre-surgery phase, but requires intensified care by a multidisciplinary team specialized in orthogeriatrics.
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spelling pubmed-104557302023-08-26 The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome Krickl, Julian Ittermann, Till Thannheimer, Andreas Schmidt, Wolfgang Willauschus, Maximilian Ruether, Johannes Loose, Kim Gesslein, Markus Millrose, Michael J Pers Med Article Background: Hip fractures in geriatric patients often have a poor outcome in terms of mortality, mobility as well as independence. Different surgical influence factors are known that improve the outcome. Methods: In this observational cohort study, 281 patients of a geriatric trauma unit were analyzed prospectively. Demographic factors, as well as data regarding the trauma mechanism and perioperative treatment, were recorded. The nutritional status was also analyzed. The follow-up was set to 120 days. Results: The key conclusion of this study is that a high ASA classification, the use of anticoagulatory medicine and malnutrition are significantly associated with higher mortality together with worse independence (p < 0.05). There is no significant difference in outcome concerning the time to surgery within the first 24 h. Conclusions: Malnutrition seems to be an important risk factor for an adverse outcome of geriatric patients and therefore warrants a focus in multidisciplinary treatment. The risk factor ASA cannot be improved during the pre-surgery phase, but requires intensified care by a multidisciplinary team specialized in orthogeriatrics. MDPI 2023-08-17 /pmc/articles/PMC10455730/ /pubmed/37623521 http://dx.doi.org/10.3390/jpm13081271 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Krickl, Julian
Ittermann, Till
Thannheimer, Andreas
Schmidt, Wolfgang
Willauschus, Maximilian
Ruether, Johannes
Loose, Kim
Gesslein, Markus
Millrose, Michael
The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title_full The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title_fullStr The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title_full_unstemmed The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title_short The Rising Problem of Hip Fractures in Geriatric Patients—Analysis of Surgical Influences on the Outcome
title_sort rising problem of hip fractures in geriatric patients—analysis of surgical influences on the outcome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455730/
https://www.ncbi.nlm.nih.gov/pubmed/37623521
http://dx.doi.org/10.3390/jpm13081271
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